Breathe Coordinator

(8am-6pm - To be agreed in line with practice core hours but may include occasional evening or weekends by prior agreement), In 2019 NHS England launched Primary Care Networks serving populations of 30,000-60,000 patients. Whilst practices remain autonomous, they were also required to enter a PCN and provide services as a PCN. In the BD4+ this has resulted in the formation of Bowling Highfield Medical Practice, Low Moor Medical Practice, Rooley Lane Medical Practice and Tong Medical Practice. Funding for additional staff supported by the PCN has grown and services such as Enhanced Access (outside of core hours 8am-6pm), Improving access, Structure Medication review and Enhanced Health in Care Homes. Additional roles funded by the PCN includes Clinical Pharmacists, Advanced Nurse Practitioners, Advanced Paramedic Practitioners, Social Prescribers, First Contact Physiotherapists, GP Assistants, Care Coordinators and Mental Health Practitioners.

Although not employed by the PCN, the post holder will work very closely with the Primary Care Team who support patients from the 4 medical practices. The post holder will work alongside these staff as an integral part of the team using the same processes such as the system IT access, tasking team members and spending time at each practice.

Bradford Council - Living Well Swap to Stop Intervention

Swap to stop operates on a 'making every contact count' basis. It involves a brief conversation between the person who smokes and someone in your organisation (like a wellbeing lead), to understand their needs and gauge their motivation level for quitting. The conversation will include the option of being referred to local stop smoking services or receiving a 12 week vape starter kit. The kits can be kept on site and handed out, or they can be ordered via voucher through an online portal direct to the home address of the person who smokes. This interaction will be brief and take between 5-15 minutes.

This exciting new post will work with both teams (HLS CIC and PCN), playing a key role in enhancing the service offered to those who would like to quit smoking particularly, people living with COPD, asthma and pregnant people who smoke. The people who will be supported may have complex psycho-social needs and may have experienced childhood or other life trauma, which can make changing health-related behaviour challenging. The Breathe Co-ordinator (Smoking Cessation) post, similar to a Social Prescriber will focus some of their time working on a one-to-one basis but also on facilitating group interventions to improve outcomes. The role will involve holding a caseload and the post holder will be required to co-ordinate, facilitate and establish group clinics. The work will be primary care-based, with the post holder accessing patient records through SystmOne. There is also an opportunity to integrate a holistic model of care and support with the delivery of planned
primary care e.g. QOF reviews.

Training will be provided to support the post holder in training such as Motivational Interviewing, NCSCT Very Brief Advice, Swap to Stop, Coaching, Systm One, Quit Manager, NHS Mandatory training, Trauma Informed Care and Behaviour Change COM-B model.

Key Duties and Responsibilities

1. The Breathe Co-ordinator will work from clinical records and identify people who would benefit from quitting smoking. They will then offer very brief interventions over a period of time to support them either to access the Living Well Swap to Stop Smoking offer or accessing a Swap to Stop 3-month free vape. Along the way it is envisaged that they will need other social support which can be provided by the social prescribing team or by signposting to relevant services.

2. To support smokers by using a trauma informed approach and recognising smoking isn't a lifestyle choice and support people in a similar way to those with long term conditions. The postholder will utilise different approaches to behaviour change such as motivational interviewing, coaching and Making Every Contact Count (MECC) to support patients to start their quit attempt.

3. The Breathe Co-ordinator alongside other key services provided by Healthy Lifestyle Solution CIC and the wider BD4+ Team will establish group interventions targeted at specific groups e.g., pregnant people who smoke, and older people with COPD.

4. The Breathe Co-ordinator will also support the development peer-led groups and help people draw on their lived experience to access community resources to enable each other to improve their lives and make health-related behaviour changes.

5. People will be reviewed regularly (group review) and will have the option to "graduate" from the service, with the promise that they can return to the group (through a process mirroring patient-initiated follow-up) should they feel they need to access support again to keep on track.

6. Provide personalised support to individuals, their families, and carers to take control of their health and wellbeing, live independently and improve their health.

7. Develop trusting relationships by giving people time and focus on 'what matters to me'.

8. Provide very brief advice at events within the community including schools, places of worships, community centres/hubs and targeted health events. They will also signpost people where to get support.

9. Take referrals from a wide range of agencies, including PCNs' GP practices, MAST, and multi-disciplinary team such as pharmacies, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations, and voluntary, community and social enterprise (VCSE) organisations (list not exhaustive) and act on these in a timely manner.

10. Work closely with the Public Health Living Well Service to support their Tobacco Control agenda.

11. Work closely within the PCN with key clinicians as well as non-clinical team members.

12. Represent BD4+ Community Partnership and the Core20plus5 health intervention which is tackling health inequalities out in the community and at associated meetings.

13. Post holder will be proactive in developing strong partnership links with all local agencies to encourage referrals, recognising the need to be confident in the service to make appropriate referrals.

14. The post holder will be working in a developing environment, and he/she will therefore be expected to undertake other appropriate duties as required.

15. Maintain accurate written records and monitoring and evaluation of the service examples include Swap to Stop and Core 20+5 monitoring.

Through this Group Care Model, the Team hopes to:

• Build social capital



• Improve health status



• Reduce social isolation; build community connection.



• Increase health-related behaviour changes.



• Improve person-centred outcomes (as defined by individuals themselves)



• Leave a lasting legacy in the form of an active peer support network.


Equal Opportunities

HLS is committed to equal opportunities, anti-discrimination and anti-oppressive policy and practice. No one we have contact with may be discriminated against either directly or indirectly on the grounds of gender, race, nationality, ethnicity, religion, marital status, sexual orientation, age, or impairment. This policy applies to job applicants, employees, volunteers, and service users.

An understanding of the sector, a commitment to recovery practices and empathy with people with mental health problems is vital. HLS needs people who can cope with limited resources, seize opportunities, and think creatively. Awareness of the stigma and other issues surrounding mental illness is important, as is the ability to remain impartial, as this role may involve working in potentially sensitive areas.

Personal Specification

As much as there is a personal specification, we appreciate this role will take someone special and the people skills required are hard to quantify, so if you think you have those softer skills and a passion for helping people to quit smoking please do apply.

Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way and motivate others to reach their potential

P

Able to provide a culturally sensitive service, by supporting people from all backgrounds and communities, respecting lifestyles, and diversity. Where appropriate working with other services such as Interpreters

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Ability to maintain effective working relationships and to promote collaborative practice with all colleagues (including VCSE organisations and community groups).

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Can demonstrate personal accountability, emotional resilience, and ability to work well under pressure

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Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines

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Ability to communicate clearly in a written and oral format in order to support communication

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Able to provide motivational coaching to support people's behaviour change

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Knowledge of, and ability to work to, policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

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Willingness to learn and continuously develop professionally.

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Training in motivational facilitation, coaching and interviewing or equivalent experience

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Knowledge and understanding of past trauma, smoking and health inequalities and working in areas of similar demographics

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Ability to adapt to meet the needs of the service

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Passionate about improving health at an individual and population level

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Knowledge and experience

Experience of supporting people, their families, and carers in a related role (including unpaid work)

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Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups

P

Experience of partnership/collaborative working and of building relationships across a variety of organisations

P

Knowledge of the personalised care approach

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Understanding of the wider determinants of health, including social, economic, and environmental factors and their impact on communities, individuals, their families, and carers

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Understanding of, and commitment to, equality, diversity, and inclusion.

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Knowledge of IT systems, including ability to use word processing skills, emails, and the internet to create simple plans and reports

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Local knowledge of VCSE and community services in the locality

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Knowledge of how the NHS works, including primary care

P

Meets DBS reference standards and criminal record checks, NVQ Level 3 or equivalent in relevant subject, examples include health & social care, community development, community health, Mental Health First Aid, etc, High level of written and oral communication skills, having obtained at a minimum of GCSE grade C or equivalent.

An exciting opportunity has arisen to work as a 'Breathe Co-ordinator' (Smoking Cessation) to support our patients struggling to quit smoking. This collaborative new role works in system partnership between Healthy Lifestyle Solutions CIC, BD4+ Primary Care Network, BD4+ Community Partnership and Bradford Council Living Well service. The post holder will work with patients belonging to Bowling Highfield Medical Practice, Low Moor Medical Practice, Rooley Lane Medical Practice and Tong Medical Practice.

This project has been funded through the Core20PLUS5 - A National NHS England approach to inform action to reduce healthcare inequalities at both national and system level. (Please find in appendix below providing an infographic).

The host organisation for this post is Healthy Lifestyle Solutions CIC.

Healthy Lifestyles Solutions is a Voluntary Community Service organisation working for the BD4+ Community. Two key strands of the organisation which include Restore Recovery College and Social Prescribing.

Restore is a well-respected and established College set in the heart of a busy and highly populated location of BD4. It provides a range of recovery, coaching and training services for adults within the community, predominantly for those with mental health issues. Restore is closely linked with GP practices and are hosted at Tong Medical Practice alongside their premise at Bizspace. Restore has a strong partnership working ethos, main partners include BD4Plus PCN and Community Partnership, Statutory services, Mental health, VCS sector, Bradford College, Local Authority as well as Private businesses. Working in this way, increases the opportunities available to the local community and ensures an easy route for people to get the best holistic support possible.

An educational approach is taken to recovery and the belief that when people are provided the tools, knowledge, and skills, they can live a full and meaningful life. All courses are co-produced and co-delivered, drawing on both professional expertise and lived experience in equal measure.

The Social Prescribing team gives agency to people take control of their health and wellbeing through referral to 'Link Workers' who give time, focus on 'what matters to me' and take a holistic approach to an individual's health and wellbeing, connecting people to diverse community groups and statutory services for practical and emotional support. Link workers also support existing groups to be accessible and sustainable and help people to start new community groups, working collaboratively with all local diverse partners. Social Prescribers support people in the wider determinants of health including social care needs, debt, housing, social isolation, benefits, and employment.

This exciting new post will sit within the Social Prescribing team offering team support to the post holder and they will work on the same computer systems as the Social Prescribers and the Primary Care Team.

BD4+ Community Partnership

Bradford and Craven Health & Care Partnership has 13 established Community Partnerships, based on PCN population footprints of between 30,000 and 50,000. Community Partnerships have been aligned with the 5 Localities in the Bradford District and with Craven. The primary purpose is to bring local focus and leadership to the challenge of health inequalities. Partnerships are put at the heart of everything. An inclusive approach is taken as a coordinated, 'end to end' approach to interventions is developed. There is engagement with communities, taking a strengths-based approach, inverting the power to act, and giving a voice to those who are marginalised and seldom heard.

BD4+ Community Partnership (CP) is working across parts of Bradford South which is very closely aligned with the Locality's footprint. This includes the following wards: Tong and Wyke. The involvement of a wider group of partners is crucial as we believe prioritising working together around agreed priorities where a partnership approach will deliver added value. The BD4+ CP has identified 4 key health priorities which it is proactively seeking the development and delivery of innovative local initiatives with a focus on prevention. Respiratory Diseases was identified as a priority due to the high levels of smoking and deprivation across locality population., The West Yorkshire Tobacco Control Alliance has successfully applied for a proportion of Swap to Stop vapes as a West Yorkshire system. 'Swap to Stop' is a government scheme that will provide one million UK smokers who want to make a quit attempt with a free vape starter kit. Evidence shows that vaping poses a small fraction of the risks of smoking, but that vaping is not completely risk-free, particularly for people who have never smoked. Those who don't smoke shouldn't vape. The swap to stop programme adds to patient choice and will provide more opportunities for people to make a quit attempt, which will help us to achieve our ambition of a smokefree West Yorkshire by 2030 (prevalence of less than 5%).

In West Yorkshire, there are around 252,000 adults who smoke (this is around 13.1%), which is higher than the national average. Smoking is a key driver of health inequalities and is responsible for half of the difference in healthy life expectancy between the least and most deprived areas in West Yorkshire. Smoking causes 16 types of cancer, heart disease, Chronic Obstructive Pulmonary Disease (COPD), stroke, and many other health harms. There are at least 19,000 hospital admissions and 8,900 deaths every year due to smoking in West Yorkshire. Smokers are 2.5 times more likely to need social care, and on average, this care is needed 10 years earlier than non-smokers. Smoking can also increase social isolation and loneliness. Smoking also undermines prosperity, and there are around 10,000 people in West Yorkshire out of work due to smoking. Smoking costs West Yorkshire approximately £660m per year.

What is the plan?

We want to provide as many opportunities as possible for smokers to make a quit attempt. Locally, in each local authority area of West Yorkshire, plans are being made to explore opportunities, including with social housing providers, community mental health services, and drugs and alcohol teams.

At a system level, through West Yorkshire Integrated Care Board, we are exploring opportunities with large employers, including public, private, and third sector employers, with the aim of providing quit opportunities for their staff.

This offer is for the 2024/25 financial year only.

What does a swap to stop intervention look like?

Swap to stop operates on a 'making every contact count' basis. It involves a brief conversation between the person who smokes and someone in your organisation (like a wellbeing lead), to understand their needs and gauge their motivation level for quitting. The conversation will include the option of being referred to local stop smoking services or receiving a 12 week vape starter kit. The kits can be kept on site and handed out, or they can be ordered via voucher through an online portal direct to the home address of the person who smokes. This interaction will be brief and take between 5-15 minutes.

Salary: £26513.20 per year (pro rata) or £14.57 per hour Equivalent to NHS agenda for change band 5